Figure 5-5. Upper arm immobilized using a SAM splint.
(1) Apply at least one cravat above the fracture site and at least one cravat
below the fracture site. If possible, apply two cravats above the fracture site and two
cravats below the fracture site. Do not apply a cravat over the fracture site.
(2) Tie the tails of the cravats in a non-slip knot on the outside of the splint.
Tuck the ends of the tails into the cravat to prevent accidental entanglement when the
casualty is moved.
(3) Check the casualty's pulse after each cravat is applied. If the pulse can
no longer be detected, loosen the cravat and apply it again. If this does not restore
circulation, evacuate the casualty as soon as possible.
If cravats are not available, use tape or a roller bandage to secure the
i. Apply a sling and a swathe to further immobilize the casualty's arm. If
possible, apply two swathes--one above the fracture site and one below the fracture